# Care Signature Christian Homecare Services Limited

*Operated by Care Signature Christian Homecare Services.*

Care Signature Christian Homecare Services Limited is a CQC-regulated home-care agency in Ipswich.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 15/02/2024

## Practical info

- Postcode: IP1 5NX
- Local authority: Suffolk
- Region: East
- City: Ipswich
- Last CQC check: 15/Feb/2024 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Service worked in partnership with health and social care professionals.
  - Published: 2024-02-23
- Finding
  - Evidence: Registered manager was responsive and receptive to inspection feedback, taking immediate corrective action.
  - Published: 2024-02-23
- Finding
  - Evidence: Provider had systems in place to learn lessons when things went wrong.
  - Published: 2024-02-23
- Finding
  - Evidence: Positive staff culture reported; staff felt supported, engaged and valued.
  - Published: 2024-02-23
- Finding
  - Evidence: Service worked within the principles of the Mental Capacity Act 2005.
  - Published: 2024-02-23
- Finding
  - Evidence: Good infection prevention and control practice observed, with staff wearing appropriate PPE.
  - Published: 2024-02-23
- Finding
  - Evidence: Medicines management systems were in place with staff competency checks for safe administration.
  - Published: 2024-02-23
- Finding
  - Evidence: Staff received training in safeguarding and knew how to report concerns confidently.
  - Published: 2024-02-23
- **record_keeping** _(critical)_
  - Evidence: There were inconsistencies with obtaining staff references and the suitability of these. The system to ensure all necessary checks on staff were completed before being employed was not robust.
  - Published: 2024-02-23
- **communication_with_families** _(minor)_
  - Evidence: several people shared examples of challenges with communication, where English was not the care staff's first language, and not knowing which member of care staff to expect for their visit.
  - Published: 2024-02-23
- **staff_training** _(moderate)_
  - Evidence: Not all care staff had up to date training such as in healthcare tasks.
  - Published: 2024-02-23
- **missed_or_late_visits** _(moderate)_
  - Evidence: a person had a care call for 16 minutes when the planned call was 30 minutes. Another person received a 15-minute care call when it was planned for 30 minutes.
  - Published: 2024-02-23
- **care_planning** _(moderate)_
  - Evidence: People's care records did not always include clear guidelines for staff in how to manage risks to their care. This placed people at risk of harm.
  - Published: 2024-02-23
- **governance** _(critical)_
  - Evidence: The providers governance systems were not always robust and effective at identifying improvements needed. This was a breach of Regulation 17 (Good Governance).
  - Published: 2024-02-23
- **staffing_levels** _(critical)_
  - Evidence: DBS checks completed up to 5 months after the staff member's start date. The registered manager told us care staff would not have undertaken care tasks alone during this time, however they were unable to evidence this.
  - Published: 2024-02-23

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2024-02-23
- Finding
  - Preventing and controlling infection
  - Published: 2024-02-23
- Finding
  - Using medicines safely
  - Published: 2024-02-23
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2024-02-23
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2024-02-23
- Finding
  - Staffing and recruitment
  - Published: 2024-02-23

### well_led

- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2024-02-23
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2024-02-23
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2024-02-23
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2024-02-23

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-3535087252

HomeCare Compass is an independent guide and is not affiliated with the CQC.